Senior Reimbursement Analyst – Revenue Management

This is a fully remote position, open to applicants in United States.

📋 Description

• Deliver essential analytical and reimbursement support for Medicare, Medicaid, and various third-party cost reports, including related audits, appeals, DSH, 340B, and CPT/HCPCS code modifications for designated entities.

• Compile workpapers and review as well as submit annual Medicare and Medicaid cost reports along with other necessary regulatory filings.

• Oversee Medicare and Medicaid cost report evaluations and audits, encompassing the overall cost report, wage index, bad debt, S-10, Medicaid log, and Medicaid eligible days.

• Generate monthly settlement reserve entries.

• Investigate reimbursement and regulatory matters, providing analyses to the System Director and other stakeholders.

• Assess net revenue analytics and pinpoint areas that need further analysis.

• Aid in the annual net revenue budgeting process.

• Create reports, analyze and synthesize data, and complete various projects with precision and efficiency.

• Develop reimbursement-related reports and analyses for reimbursement leadership.

• Condense reimbursement data for market and local finance leadership.

⛳️ Requirements

• Bachelor's degree in Accounting or Finance is mandatory.

• A Graduate (Master’s) degree in Accounting or Finance is preferred.

• At least 3 years of experience in consulting or within a multi-hospital acute-care health system concerning Medicare and Medicaid reimbursement and cost report preparation.

• Familiarity with Ohio, Kentucky, Virginia, and/or South Carolina Medicaid reimbursement, Medicare medical education reimbursement, Medicare wage index, and/or Medicare critical access hospital reimbursement is preferred.

• Capability to investigate reimbursement issues and deliver practical and succinct interpretations.

• Strong organizational abilities and capacity to utilize critical thinking to query relevant data for projects.

• Exceptional analytical and computer proficiency.

• Ability to effectively communicate and engage with regional and corporate office associates.

• Excellent verbal and written communication skills along with strong interpersonal abilities.

• Capability to work independently and proactively with minimal supervision.

🏝️ Benefits

• Competitive salary.

• Incentives.

• Referral bonuses.

• 403(b) with employer contributions (when eligible).

• Medical, dental, vision, and prescription coverage.

• HSA/FSA options.

• Life insurance.

• Mental health resources and discounts.

• Paid time off.

• Parental and FMLA leave.

• Short- and long-term disability.

• Backup care for children and elders.

• Tuition assistance.

• Support for professional development and continuing education.